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DOL Form CA-17

View OWCP-DFEC's Form CA-17 Online 

Agency:	OWCP-DFEC
Title:	DFEC CA-17, Duty Status Report
Form Description:	DFEC CA-17, Duty Status Report: This form is provided for the purpose of obtaining a medical duty status report for the injured employee.
OMB Control Number:	1240-0046

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